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2. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

3. Electronic health records in the United States - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_records...

   Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records.The US Congress included a formula of both incentives (up to $44,000 per physician under Medicare, or up to $65,000 over six years under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements to doctors who fail to use ...

4. SAMPLE history - Wikipedia

   en.wikipedia.org/wiki/SAMPLE_History

   It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]

5. Electronic health record - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_record

   The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [6][7] In contrast, a ...

6. Capital Health Regional Medical Center - Wikipedia

   en.wikipedia.org/wiki/Capital_Health_Regional...

   Capital Health Regional Medical Center is a member of Capital Health System. [ 1] Located in Trenton, New Jersey, Capital Health Regional Medical Center, is a regional academic medical center and state designated trauma center that cares for both complex and routine cases. Capital Health operates two hospitals, Capital Health Regional Medical ...

7. Health information management - Wikipedia

   en.wikipedia.org/wiki/Health_information_management

   Health information management (HIM) is information management applied to health and health care. It is the practice of analyzing and protecting digital and traditional medical information vital to providing quality patient care. With the widespread computerization of health records, traditional (paper-based) records are being replaced with ...